Provider Demographics
NPI:1376990143
Name:RAJDEV, KARTIKEYA (MD)
Entity Type:Individual
Prefix:
First Name:KARTIKEYA
Middle Name:
Last Name:RAJDEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 TECHNOLOGY PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9423
Mailing Address - Country:US
Mailing Address - Phone:717-988-5864
Mailing Address - Fax:
Practice Address - Street 1:2005 TECHNOLOGY PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9423
Practice Address - Country:US
Practice Address - Phone:717-988-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2022-12-20
Deactivation Date:2017-01-20
Deactivation Code:
Reactivation Date:2017-04-27
Provider Licenses
StateLicense IDTaxonomies
244202390200000X
PAMD476928207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program